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CMS RVU26D · Effective 2026-10-01

21030 in Beaumont

Office / nonfacility

$447.90

Base rate per service

Facility setting

$321.15

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Oral and maxillofacial surgery

About 21030: Benign maxillary or zygomatic lesion excision

Reports enucleation and curettage of a benign tumor or cyst involving the maxilla or zygoma, typically performed by an oral and maxillofacial surgeon.

This service removes a benign tumor or cyst arising in the maxilla or zygoma by enucleating the lesion and curetting its bony site. Oral and maxillofacial surgeons commonly perform it for an intraosseous lesion identified on dental or facial imaging, with the specimen sent for pathologic examination. The approach and setting depend on the lesion and the patient; the defining work is enucleation and curettage, rather than resection of a malignant tumor or removal of a superficial facial mass.

Report the code when the operative record identifies a benign maxillary or zygomatic tumor or cyst and documents enucleation with curettage. A 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. For bilateral reporting with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 21030

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.79 · 34%
  • Practice expense (office) RVU8.87 · 62%
  • Malpractice RVU0.59 · 4%

1.1K

Medicare services in 2024 · #2898 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

21030 compared with similar codes

Office rates for Beaumont, from the same CMS release.

21034

Tumor excision

Malignant, maxilla or zygoma

$1,240.67

Both concern the maxilla or zygoma, but 21030 describes enucleation and curettage of a benign lesion; 21034 is for a malignant tumor.

21026

Facial bone excision

One or more facial bones

$541.50

Use 21030 for enucleation and curettage of a benign tumor or cyst in the maxilla or zygoma. Code 21026 describes excision of facial bone or bones.

21048

Maxillary excision

Extraoral approach, partial maxillectomy

No office rate

Code 21048 concerns a maxillary benign tumor or cyst requiring intraoral osteotomy. Code 21030 describes enucleation and curettage.

21040

Mandibular lesion excision

Intraoral approach

$451.55

Code 21040 describes enucleation and curettage of a benign tumor or cyst in the mandible; 21030 is for the maxilla or zygoma.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 21030 is $491.22—$43.32 higher than the $447.90 rate in Beaumont. Both use the same code, release and participation basis.

21030 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $447.90

  2. Austin

    $491.22

    $43.32 higher than Beaumont

  3. Brazoria

    $470.24

    $22.34 higher than Beaumont

  4. Dallas

    $473.42

    $25.52 higher than Beaumont

  5. Fort Worth

    $470.71

    $22.81 higher than Beaumont

  6. Galveston

    $471.78

    $23.88 higher than Beaumont

  7. Houston

    $482.58

    $34.68 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 21030 ranges from $424.63 in Arkansas to $615.37 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 21030

    Office

    $458.94

    Facility

    $326.76

    $11.04 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 21030

    Office

    $530.12

    Facility

    $365.35

    $82.22 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21030

    Office

    $539.56

    Facility

    $375.49

    $91.66 higher than Beaumont for the office setting.

  • Miami

    Florida · 21030

    Office

    $518.24

    Facility

    $373.25

    $70.34 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 21030

    Office

    $504.08

    Facility

    $364.11

    $56.18 higher than Beaumont for the office setting.

  • Manhattan

    New York · 21030

    Office

    $545.75

    Facility

    $383.90

    $97.85 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 21030

    Office

    $566.37

    Facility

    $418.03

    $118.47 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 21030

    Office

    $430.38

    Facility

    $308.51

    $17.52 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 21030

    Office

    $424.63

    Facility

    $304.99

    $23.27 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 21030

    Office

    $463.94

    Facility

    $328.98

    $16.04 higher than Beaumont for the office setting.

  • Bakersfield

    California · 21030

    Office

    $499.74

    Facility

    $347.09

    $51.84 higher than Beaumont for the office setting.

  • Chico

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • El Centro

    California · 21030

    Office

    $498.08

    Facility

    $345.43

    $50.18 higher than Beaumont for the office setting.

  • Fresno

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Madera

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Merced

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Modesto

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Napa

    California · 21030

    Office

    $570.56

    Facility

    $386.99

    $122.66 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21030

    Office

    $526.93

    Facility

    $362.30

    $79.03 higher than Beaumont for the office setting.

  • Redding

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Rest Of California

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21030

    Office

    $504.39

    Facility

    $351.73

    $56.49 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21030

    Office

    $520.87

    Facility

    $358.89

    $72.97 higher than Beaumont for the office setting.

  • Salinas

    California · 21030

    Office

    $518.88

    Facility

    $357.46

    $70.98 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21030

    Office

    $529.81

    Facility

    $363.22

    $81.91 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21030

    Office

    $601.97

    Facility

    $405.58

    $154.07 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 21030

    Office

    $601.30

    Facility

    $404.91

    $153.40 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 21030

    Office

    $615.37

    Facility

    $414.52

    $167.47 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 21030

    Office

    $612.63

    Facility

    $411.78

    $164.73 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21030

    Office

    $510.72

    Facility

    $352.08

    $62.82 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 21030

    Office

    $533.88

    Facility

    $364.65

    $85.98 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 21030

    Office

    $520.48

    Facility

    $358.08

    $72.58 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 21030

    Office

    $539.17

    Facility

    $368.13

    $91.27 higher than Beaumont for the office setting.

  • Stockton

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Vallejo

    California · 21030

    Office

    $569.59

    Facility

    $386.02

    $121.69 higher than Beaumont for the office setting.

  • Visalia

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Yuba City

    California · 21030

    Office

    $497.98

    Facility

    $345.33

    $50.08 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 21030

    Office

    $492.53

    Facility

    $344.33

    $44.63 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 21030

    Office

    $506.11

    Facility

    $356.11

    $58.21 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 21030

    Office

    $471.22

    Facility

    $333.61

    $23.32 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 21030

    Office

    $495.74

    Facility

    $354.64

    $47.84 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 21030

    Office

    $472.84

    Facility

    $339.69

    $24.94 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 21030

    Office

    $485.14

    Facility

    $343.63

    $37.24 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 21030

    Office

    $447.75

    Facility

    $323.51

    $0.15 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 21030

    Office

    $508.25

    Facility

    $349.89

    $60.35 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 21030

    Office

    $438.90

    Facility

    $311.45

    $9.00 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 21030

    Office

    $441.88

    Facility

    $313.74

    $6.02 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 21030

    Office

    $472.24

    Facility

    $344.10

    $24.34 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 21030

    Office

    $461.28

    Facility

    $334.12

    $13.38 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 21030

    Office

    $500.30

    Facility

    $357.25

    $52.40 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 21030

    Office

    $444.21

    Facility

    $315.09

    $3.69 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 21030

    Office

    $437.75

    Facility

    $311.84

    $10.15 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 21030

    Office

    $441.40

    Facility

    $317.58

    $6.50 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 21030

    Office

    $461.16

    Facility

    $330.10

    $13.26 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 21030

    Office

    $441.06

    Facility

    $317.80

    $6.84 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 21030

    Office

    $537.83

    Facility

    $371.53

    $89.93 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21030

    Office

    $490.22

    Facility

    $343.56

    $42.32 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21030

    Office

    $504.82

    Facility

    $355.37

    $56.92 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 21030

    Office

    $479.50

    Facility

    $338.55

    $31.60 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 21030

    Office

    $444.81

    Facility

    $316.67

    $3.09 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 21030

    Office

    $466.02

    Facility

    $328.00

    $18.12 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 21030

    Office

    $479.11

    Facility

    $344.71

    $31.21 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 21030

    Office

    $452.73

    Facility

    $325.57

    $4.83 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 21030

    Office

    $470.68

    Facility

    $327.36

    $22.78 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 21030

    Office

    $457.44

    Facility

    $326.65

    $9.54 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 21030

    Office

    $461.78

    Facility

    $329.19

    $13.88 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 21030

    Office

    $434.57

    Facility

    $314.50

    $13.33 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 21030

    Office

    $429.64

    Facility

    $309.72

    $18.26 lower than Beaumont for the office setting.

  • Montana**

    Montana · 21030

    Office

    $475.92

    Facility

    $336.64

    $28.02 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 21030

    Office

    $449.00

    Facility

    $319.05

    $1.10 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 21030

    Office

    $464.26

    Facility

    $324.98

    $16.36 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 21030

    Office

    $440.89

    Facility

    $312.34

    $7.01 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 21030

    Office

    $485.65

    Facility

    $340.65

    $37.75 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 21030

    Office

    $534.78

    Facility

    $373.22

    $86.88 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 21030

    Office

    $511.53

    Facility

    $359.43

    $63.63 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 21030

    Office

    $455.33

    Facility

    $327.61

    $7.43 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 21030

    Office

    $472.97

    Facility

    $333.55

    $25.07 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21030

    Office

    $559.08

    Facility

    $393.48

    $111.18 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21030

    Office

    $515.45

    Facility

    $362.93

    $67.55 higher than Beaumont for the office setting.

  • Queens

    New York · 21030

    Office

    $548.83

    Facility

    $384.20

    $100.93 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 21030

    Office

    $455.30

    Facility

    $322.98

    $7.40 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 21030

    Office

    $450.35

    Facility

    $323.18

    $2.45 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 21030

    Office

    $439.87

    Facility

    $315.49

    $8.03 lower than Beaumont for the office setting.

  • Portland

    Oregon · 21030

    Office

    $506.36

    Facility

    $351.62

    $58.46 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 21030

    Office

    $468.92

    Facility

    $330.20

    $21.02 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21030

    Office

    $494.79

    Facility

    $349.80

    $46.89 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21030

    Office

    $450.59

    Facility

    $322.72

    $2.69 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 21030

    Office

    $478.93

    Facility

    $338.11

    $31.03 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 21030

    Office

    $486.65

    Facility

    $342.77

    $38.75 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 21030

    Office

    $450.49

    Facility

    $321.79

    $2.59 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 21030

    Office

    $462.88

    Facility

    $323.60

    $14.98 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 21030

    Office

    $439.88

    Facility

    $313.27

    $8.02 lower than Beaumont for the office setting.

  • Utah

    Utah · 21030

    Office

    $456.18

    Facility

    $325.25

    $8.28 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 21030

    Office

    $465.13

    Facility

    $328.22

    $17.23 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21030

    Office

    $478.93

    Facility

    $338.11

    $31.03 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 21030

    Office

    $463.27

    Facility

    $325.38

    $15.37 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 21030

    Office

    $489.03

    Facility

    $342.37

    $41.13 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 21030

    Office

    $547.61

    Facility

    $376.71

    $99.71 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 21030

    Office

    $449.88

    Facility

    $316.45

    $1.98 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · 21030

    Office

    $445.65

    Facility

    $324.61

    $2.25 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 21030

    Office

    $470.84

    Facility

    $331.56

    $22.94 higher than Beaumont for the office setting.

See how rates vary across the country

21030 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$424.63

$566.37

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$566.371
AL$430.381
AR$424.631
AZ$463.941
CA$497.98–$615.3729
CO$492.531
CT$506.111
DC$539.561
DE$471.221
FL$472.84–$518.243
GA$447.75–$485.142
GU$508.251
HI$508.251
IA$438.901
ID$441.881
IL$461.28–$504.084
IN$444.211
KS$437.751
KY$441.401
LA$441.06–$461.162
MA$490.22–$537.832
MD$479.50–$539.563
ME$444.81–$466.022
MI$452.73–$479.112
MN$470.681
MO$434.57–$461.783
MS$429.641
MT$475.921
NC$449.001
ND$464.261
NE$440.891
NH$485.651
NJ$511.53–$534.782
NM$455.331
NV$472.971
NY$455.30–$559.085
OH$450.351
OK$439.871
OR$468.92–$506.362
PA$450.59–$494.792
PR$478.931
RI$486.651
SC$450.491
SD$462.881
TN$439.881
TX$447.90–$491.228
UT$456.181
VA$465.13–$539.562
VI$478.931
VT$463.271
WA$489.03–$547.612
WI$449.881
WV$445.651
WY$470.841

Explore 21030 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 21030 in Beaumont, the physician’s office rate is $447.90 and the facility-setting rate is $321.15: a difference of $126.75.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 21030 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$492.69

$447.90 × 110% = $492.69

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21030 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

1,846

Code
21030
Physician work
4.79
Practice expense
8.87
Malpractice
0.59

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 21030 in Beaumont
ComponentRVULocality factorAdjusted
Physician work4.79× 1.0004.7900
Practice expense8.87× 0.9108.0717
Malpractice0.59× 0.9290.5481
Total RVUs13.4098
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$447.90

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

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Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.791
Practice expense8.870.91
Malpractice0.590.929

(4.79 × 1 + 8.87 × 0.91 + 0.59 × 0.929) × $33.4009 = $447.90

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.791
Practice expense4.70.91
Malpractice0.590.929

(4.79 × 1 + 4.7 × 0.91 + 0.59 × 0.929) × $33.4009 = $321.15

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

21030 · Office / nonfacility

$447.90

Effective 2026-10-01

The base rate is $26.07 higher than on 2025-10-01, moving from $421.83 to $447.90 (6.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $421.83changed to$447.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.91 changed to 4.79
    • Practice expense RVU 8.48 changed to 8.87
    • Malpractice RVU 0.50 changed to 0.59
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $421.83

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$447.90$321.15RVU26D
2026-07-01$447.90$321.15RVU26C
2026-04-01$447.90$321.15RVU26B
2026-01-01$447.90$321.15RVU26A
2025-10-01$421.83$338.00RVU25D
2025-07-01$421.83$338.00RVU25C
2025-04-01$421.83$338.00RVU25B
2025-01-01$421.83$338.00RVU25A

21030 billing questions

How does this differ from code 21034?

Code 21030 is for enucleation and curettage of a benign maxillary or zygomatic tumor or cyst. Code 21034 is for excision of a malignant tumor in those bones.

When would code 21026 be a better fit?

Code 21026 describes excision of facial bone or bones. Use 21030 when the documented service is enucleation and curettage of a benign tumor or cyst specifically involving the maxilla or zygoma.

Is the related postoperative care included?

Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant surgeon or co-surgeon be billed?

CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons and team surgery are not permitted.

What should the operative documentation establish?

Document the maxillary or zygomatic site, the benign tumor or cyst, and the enucleation and curettage performed. The record should distinguish this work from malignant tumor excision or a different bone-removal procedure.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 21030PPRRVU2026_Oct_nonQPP.csv, line 1,846 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet